Sweetwater Urology

NPI #1629385786 in Rock Springs, Wyoming

Provider Information

NPI Number: 1629385786
Entity Type: Organization
Organization Name: Sweetwater Urology
Primary Specialty: Urology
Enumeration Date: Sep 9, 2010
Last Updated: Sep 9, 2010

Practice Location

Address: 1208 HILLTOP DR
Address 2: SUITE 204
City: Rock Springs
State: Wyoming
ZIP Code: 82901-5859
Phone: (307) 362-4200

Authorized Official

Name: DR. MICHAEL SUTPHIN, MD
Title: OWNER
Phone: (307) 362-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary
Physician Assistant	363A00000X

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